Gary A Dorman
NPI #1467444315 in Ponca City, Oklahoma
Provider Information
- NPI Number
- 1467444315
- Entity Type
- Individual
- Name
- Gary A Dorman
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Optometrist
- Enumeration Date
- Aug 17, 2005
- Last Updated
- May 1, 2009
Practice Location
- Address
- 400 FAIRVIEW AVE
- Address 2
- SUITE 21
- City
- Ponca City
- State
- Oklahoma
- ZIP Code
- 74601-1922
- Phone
- (580) 765-3356
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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